Active NPI
Jeffrey Alan McFadden, DO
- Family Medicine Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200701218
- Practice address
- 1984 S 16TH St Ste 1
Wilmington, NC 28401-6674 - Phone
- (910) 452-8633
- Fax
- (910) 452-8569
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02002556A | IN | |
| Family Medicine Physician | 207Q00000X | 200701218 | NC | Primary |
| Family Medicine Physician | 207Q00000X | 036104766 | IL |
Addresses
Primary practice location
1984 S 16TH St Ste 1
Wilmington, NC 28401-6674
Mailing address
PO Box 15109
Wilmington, NC 28408-5109
Phone (910) 392-2525
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147HR | Other | NC | BCBS OF NC |
| 02002556A | Other | IN | STATE LICENSE NUMBER |
| 812085 | Other | NC | PARTNERS/BLUE MEDICARE |
| 02002556B | Other | IN | STATE CONTROLLED LIC |
| 5907839 | Medicaid | NC | |
| 036104766 | Other | IL | STATE LICENSE NUMBER |
| 336090764 | Other | IL | STATE CONTROLLED LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Kansas City University of Physicians and Surgeons, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1984 S 16TH St
Suite 1
Wilmington, NC 28401-6674
Phone (910) 452-8633
Hospital & facility affiliations
- Providence Health Care Center
- Liberty Commons Rehabilitation Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036104766 | IL | MD | Family Medicine Physician |
| 02002556A | IN | MD | Family Medicine Physician |
| 200701218 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Health Associates, P.a. | Family Medicine | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Family Medicine | Current | Accepting new patients |
| Rockford Health Physicians | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Union Hospital Inc | Family Medicine | Current | Accepting new patients |
| Union Hospital, Inc. | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| BRMG-PC | Family Medicine | Past | Accepting new patients |
| Aberdeen Ventures, LTD. | Past | Accepting new patients |
Locations
391 S Bolingbrook Dr
Bolingbrook, IL 60440
Phone (630) 226-1006
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
5819 Reliable Pkwy
Chicago, IL 60686
410 N 2nd St
Marshall, IL 62441
Phone (217) 826-2358
408 N 2nd St
Marshall, IL 62441
Phone (217) 826-2361
3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
2401 Columbus Blvd
Kokomo, IN 46901
Phone (765) 236-0786
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
1709 S 16th St
Ste A
Wilmington, NC 28401
Phone (910) 452-8633
1984 S 16th St
Ste 1
Wilmington, NC 28401
Phone (910) 452-8633
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1396893640
Family Medicine
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Medicare Defined Swing Bed Hospital Unit
- Clinton, IN
- NPI 1487652319
-
- Urgent Care Clinic/Center
- Crown Point, IN
- NPI 1548409543
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Assisted Living Facility
- Wilmington, NC
- NPI 1861446270
Nursing home
-
- Nursing Facility/Intermediate Care Facility
- St. Mary Woods, IN
- NPI 1114986924
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1487678652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15109",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284085109",
"telephone_number": "910-392-2525",
"fax_number": "910-392-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1984 S 16TH ST STE 1",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016674",
"telephone_number": "910-452-8633",
"fax_number": "910-452-8569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFADDEN",
"first_name": "JEFFREY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02002556A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200701218",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036104766",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "147HR",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "02002556A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS/BLUE MEDICARE",
"identifier": "812085",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CONTROLLED LIC",
"identifier": "02002556B",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5907839",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "036104766",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CONTROLLED LICENSE",
"identifier": "336090764",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
- Talia Francesca Marie McDonough, PA-C
- Elizabeth Kathryn McDowell, PHYSICIAN ASSISTANT
- Stephen Francis McEachen, PH.D.
- Margaret Harrington-Veach McElroy, D.O.
- Cassidy McFadden, LRT, CTRS
- Morgan Ruth McFadden, MD
- Ryan Michael Claude McFall, LCSW
- Heather Jean McFarland, PMHNP-BC
- Michael S McGarrity, M.D.
- Doreen McGauvran, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.